3822NOTE:
With.proper validation. •••
%this form constitutes an
encroachment permit
CITY OF LA QUINTA
APPLICATION FOR PERMIT.
PUBLIC WORKS CONSTRUCTION (ENCROACHMENT)
For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains
and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS
Subdivision Improvement Permit — Class III
DATE: January 15,' 2003 Minor Improvement Permit Class IV X .
LOCATION OF .CONST� RUCTION 79-120 Westward go Drive
(Street address or Description of Location)
PURPOSE OF CONSTRUCTION To place sideValk Sketch (attach construction plans if appropriate)
DESCRIPTION OF CONSTRUCTION Move pedlatal back V
-DIMENSION OF INSTALLATION OR REMOVAL
SIZE OF EXCAVATION, IF NEEDED Trench St
,,APPROXIMATE TIME WHEN WORK WILL BEGIN 1Toon receipt
-A_ o _
**See attached special conditions**
u
JAN 1 2
.APPRQXIMAI L I IMt OF GUMPLL I IUN ""50 L (IM
OAF ga
00
ESTIMATED CONSTRUCTION COST $Mn
.(Including removal, of all obstruction, materials, and debris, backfilling, com-
paction and placing permanent resurfacing and/or replacing improvements)
In consideration of the granting of this permit, the'applicant hereby agrees to:
Indemnify, defend, and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all
penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or•property,
happening or occurring as a proximate result of any work undertaken under the permit'granted pursuant to this application.;
'Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started.
Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of
La Quinta and to pay for any additional replacement necessary as the result of this work
i Signature of Applicant or Agent
Arizona Pipeline /9 �'�f+sa-• la.�..a (1 a¢ i'7v 3r•v
' Name of Applicant (please print) Business Address Telephone No.
;4`
Name of Contractor and Job Foreman Business Address Telephone No.
Contracto'r's License No. City•Business License No.
-7 u �2
Applicant's Insurance Company Policy Number
FEES: Subdivision Improvement Permit — Class I I I
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estimated. construction costs
Minor. Improvement Permit — Class IV: See.attached schedule
*, 2
`e' Inspection -Fee $ 30.00' PERMIT VALIDATION
Permit Fee 10040 3822
PERMIT NO.
Penalty
,Cash Deposit -Surety Bond
•if. required
TOTAL: $ 110.00
Receipt No.
Received by Date
Recorded by
DATE APPROVED January, 15,, 2003
EXPIRATION DATE January 31, 2004
DATE ISSUED January 15. 2003-
i Byd''.✓',Gf �
Administrative Authority
Victor Xonz', • Aaststant Engineer I
Telephone: (760) 777-7075
an orooe• .a,.oa:.or a_. $
S torm ccrIST tuxes s:' 1 .. CITY l
"4• .^co.c+rt,.rt vertu.: OF LA QUINTA DEC 2002
• ;.
APPLICATION FOR PERMR
.l PUBLIC WORKS CONSTRUCTION' (g1t ®RW
FCr the construction of public or private cures, drivwvays• porentents, sipwwk-- pWCiq h= SMI
ar.d other like public work z'improveinents in'connecdon with MINOR IMPROVE§M%-TS and AP gK%VD E
` 4
Subdivaf'AM L•!e test — C� Ill
DATE: � PJ Mincr taRo.®asnc PW-M c Case TV >_ ,
LOCATION OF CONSTRUCTION
" (Street address or Description of Location) '
PURPOSE OF CONSTRUCTION _ INC& S Ids ('`'''AI Ske:ch crt=%x= oe piasts ie appropriate)
DESC1R�ION O FCONSTRUCTION MGV 6
DIMENSION OF INSTALLATION OR REMOVAL ��� �r? �`��0' •r
Size OF EXCANATiON iF NEEu6—
APPROXIMATE TIME WHEN WORK WILL BEGIN.
APPROXIMATE TIME OF COMPLETION `" -7 `6 3
ESTIMATED CONSTRUCTION COSTS
(Including removal of all obstruction, materials, and debris, baddillirg, com•
t t
t.
paction and placing permanent resurfacing and/or replacing Improvements)
In, consideration of the grantingof, this .permit, the applicant hereby agrees to:
Indemnify, defend ", seve,the City,, its authorized agents, offieeM representatives and ernpaeg.ftM7n" ap:eQ —V and as A: penalties, liabilities or loss resulting from diiitli or court fiction and, arising out of any ac_sat. Ions or decoar tr a» or ply,::._-.,
hapor occurring ee,a proximete. result,of any work undertaken under the, gnnit gr--t atee !s
Notify the Administrative Authority at least twenty-four (24)'hours In advance of the tme rem vi=t'=0 be xmr=i
' Cornply with all applicable City Ordinances, the terms" conditions of the permit end i0 it uodle rietas sal' gradooes sr's�e Ge1r'of.-.-...._-
+ ILi Oiainta"' tf'to': 4 for any additional replacement necessary as the It opvqs wort.
Signatur o Applicar: zr Agert
Name of: Applicant, (please print), Business Address Tegisome Ko.
Name of Contractor and Job Forirnan f • Business Address Ttiepftorie Jio_
Contractor's License No. City a skma Lives hm
c
Applicant'i Insurance Company i:cy Kuerne--,
t FEES: Subdivision Improvement Permit —Class III
Public improvements: 3% of estimated construction costs
Private improvements: 3% of estirtiated construction costs '
Minor Improvement Permit — Class IV: See attached schedule `
Inspection Fee S 36i '�• TERJ f7 VAIJOATIOK l
Permit Fee l OQ PERMIT .NO
Penalty
Cash Depoiit:Suiky-Bond DATE APPR_.�
if reduired` ;s~ z:r.�} ,,•ai., t • '` i �',h EXPIRAT;Cv J1TE
':'..TOTAL- c;•_s_. . _ •` '1: .. a •i::• . r • ., r
DATE.ISS31_'
4
•4
Receipt N6:. B t c... c,
Received by Date Y
Recorded by ' a' { • Teleph:cre '50),771•7:'= `s
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Date: 12/2.7/02
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!DEC-27-2002 FR'I 14:02 TEL:
NAME::Fy
FROM:, (FRI 1 12. 27' 02 14:0(/S ". 4 :6006 9 _9 P 2
rorrn'o*n$*.tutet sr I .
CITY OF LA OUINTA
AP'P L 1 CAT IONi FOR PEDtN TT .
PUBLIC WORKS COFAMUCTM
t
Fcr ;me construction of public or private curbs• driveways, pavernents, siw sr— ptnsiik hum. tit dos i,
_ t red other like public works improvements in connection with MANOR 1MPROV8WEIIM w+d
14
v Subdivision 10= f rmc Cum Ill
DATE : -
LOCATION OF CONSTRUCTION.
i4o 2�t1
', IStreet address or Description of Location) r-
r PURPOSE OF CONSTRUCTION -7'-d P/.4C IC,e-cti;'AT �` Sketch i .1 Crs�t:aoc piasss ' 4
DESCRIPTION OF CONSTRUCTION M'U
DIMENSION OF INSTALLATION OR REMOVAL r`
SIZE OF EXCAVATION, IF NEEDED
r. .
APPROXIMATE TIME WHEN WORK WILL BEGIN
6f, t r•
APPROXIMATE TIME OF COMPLETION '" -7 _p
ESTIMATEO CONSTRUCTION COST $ A+ • 'a
(Including removal,of all abstrurtion, materials, and debris, backfilling, corn _
paction and placing permanent resurfacing and/or replacing improvements) w
In of the granting of this permit, the applicant hereby *see to:
InEamnily. defend and aeve the City. Its authorized events, officers, representatives and r*+pw!.ibanx6m ibaw ang qais¢ awr and ad
penalties, liabilities or Ion rowltina from claim, or court action and aridna out of arty ac=iW=1L Use er dASo asttsoas err propmrtV
h"paninv or occurrfna m a pronimate emit of any work undertaken under the permit grarssta 1>oeaees as aa-s s>;,pacmiam
Notify the Administrative Audicrity at least twenty-four (24) hours In edvenee.of the Tern weer, was ems !et se=mol:
Comply with all appt'.come City Ordinwnpe, Me terns end eondillom of the pe I it rd wa aaosz>Dae .ailm aw® f so =vv of
V Quints and to pay for any additional replacement necessary as the rewilt wort_ '
Signatur o Applicar_ s Ag=.
Name of Applicant. (please print) Business Address _ Tie so. `
Name of Contractor and Job Foreman Business Address a Ttae>Ttsone hoc
4.' Contractor's License No. City S+aKa Lrras )a0. . r
Applicant's Insurance Company F_:):cy Ater
FEES: Subdivision Improvement Permit —Class III {
Public improvements: 3% of estimated construction costs a + -
Private improvements: 3% of estimated construction costs
r Minor Improvement Permit - Class IV: See attached schedule _ y
Inspection Fee s Pf RhMT VALAATICIN a c:t
' Permit Fee `a
PERMIT .NC.
Penalty ,
F Cash Dsposit•Surety Bond DATE AP9FZ'.E3 1
if required EXPIRAT;C�' JUTE
TOTAL: $
DATE ISS:J_�
i Receipt No. 9
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Received by Date.��-
Recorded by Tele,,-?%rz
DEC—E7-2002 FRI 14:02 TEL: NAhIE: _ P.
. c -t: � - � f,. .,•.� . � Yak v F
ra ;; -�'•'F _ City of La Quinta
The following General and Special Provisions are attached to and made'a part of'�x-
" Permit Number w�22� •'` _
The followin_g shall always apply: . ; , i �• c ',z Y„
ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within the.City6f.La Quinta's.right of way
ONLY. Whenever construction extends within private property, it is the responsibility of the permittee for his contractors to secure permission
from abutting property owners. Such authorization must be secured by the permittee prior to starting work. 4
' ? '
TRACK -LAYING CONSTRUCTION EQUIPMENT: Cleated track -laying construction equipment shall not be permitted to roperate on'any paved
surface unless fitted with smoother -faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to protect the paving
during excavations. Rubber -tired equipment only shall be used in backfill operation in paved areas. If the existing pavement is scarred,'spalled,
or broken during the term of this contract or if the pavement is marred, City of La Quinta shall request that these portions of road be resurfaced r
over their entire width. Resurfacing shall consist of one coat of two inches (2") of A.C. surfacing plus appropriate seal coat as specified above.
PROTECTION OF TRAFFIC: All excavations and work areas shall be ,properly lighted and barricaded as deemed necessary:by the City '
Engineer or City of La Quinta Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained,for the duration of the r •;t `_
project. The City shall be notified twenty-four hours (24) in advance of any traffic detours or delineation:
CARE OF DRAINAGE STRUCTURES: Any drainage structure to include corrugated metal pipe, concrete pipe ;:steel culvert and concrete.
• structures encountered during excavation which necessitate removal shall be replaced in kind. In the event it becomes necessary to remove or
cut existing drainage structures, City of La Quinta shall be notified prior to commencement of this work. Drainage_ structures and open drains
shall be kept free of debris at all times for proper drainage.
RIGHT-OF-WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from'the right of way. All ,
paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfill and compaction.1Existing gutter line
and drainage ditches shall be replaced to their original standard or better. All excess material shall be removed prior to paving. `Water tanker,
shall be used, as required, to sprinkle the job site to keep down dust conditions and shall be used immediately after backfill.., ' ; i ':f *.'
DE-WATEROPERTATIONS: If de -watering operations are required and pumps are forcing water on City of La Quinta roads, it s+hall1 be the
responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary. a •:. 'r,i, ktt=;� _'
-CLOSING STREETS: No street shall be closed.. A minimum of one lane of traffic shall be maintained at all times to provide limited access for, �.
the adjoining property owners and emergency vehicles. In the event it is felt by the permittee that he must close a street for any length of time,
permittee shall contact this office to obtain the necessary permission.
SPECIAL PROVISIONS --
The following shall apply when indicated:
❑ R1 NOTIFICATION: Permittee shall be notified the City at (760) 777 - 7075 at least forty-eight hours (48) in advance of starting
Y construction. 3 ;
❑. R2 UTILITY CLEARANCE: (Substructures) Prior to making any excavations within the City of La Quinta right-of-way authorized
by permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures. • '
,N Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility of the
.. •• s permittee.
0 R3 `" UTILITY CLEARANCE (Surface Structures) No work shall be done under this permit until all utilities are clear of the
' "• ayy -=x proposed work site. The permittee shall notify all concerned utility companies of the proposed work.
❑, R4 A` PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced
with (" N/A * )inches of A.C. paving placed on ('* N/.A **)inches of ( ** N/A *')aggregate sub -base course having an
.- "R" value of not less than (** N/A **) and in conformance with the City of La Quinta Road Improvement Standards and
" Specifications, Ordinance #461. ..
❑ R5.~. ;� °, `;'' PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of - +
* one-fourth inch ('/V) to one foot (1').
R6 GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or, grades as established by t
a' a licensed engineer.
❑ `R7•' CURB. REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb 'and/or, curb and gutter (*' N/A **) feet shall
be removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutterand r i`
concrete driveway approach shall be constructed in conformance with City of La Quinta Standard #207.
' ❑, R8 DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the property, T;,�- ,� ,•
,• ;,. j' r line and the existing road paving shall be two and a half inches (2 MV) of A.C. paving on (*' N/A'*) of class ('YRN/A "") • . s;
aggregate base.
❑ R9 ; a SIGHT CLEARANCE: Sight Clearance of six -hundred feet (600') in all directions shall be•assured-and maintained at all
times. `
••• ❑ R10• SOIL STERILIZER: The area to be surfaced shall be treated with soil strerilizer. ,Rate of application shall comply with }the
+r ^
:5 manufacturer's specifications.
City of La Quints
❑ 1111,
COORDINATE WORK: The proposed work shall be subordinated to any operation, which the State of California or City of
La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of,La
Quinta forces to preclude delay or interference with State or City of La Quinta projects.
❑ R12 , '
SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments' which exist on the '
centerline of all streets or property lines when included shall be completely tied out so they may be readily and i correctly,
replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the ties `
to these monuments shall be furnished to the City Engineer prior to the removal of any monuments. 'This office shall.be
notified upon completion or replacement of all survey monuments for proper clearance.
❑ R13
PAVEMENT CUTTING: Pavement will be mechanically saw cut to a straight edge prior to excavation. Method of pavement -
cutting shall be approved through the office of the City Engineer. (Under no circumstances shall excavating equipment be" =
'
used to excavate prior to cutting or pavement.) Excavation material shall be placed in such a position as to best facilitate the
general flow traffic. Prior to final paving operations, any damage to pavement straight edges shall be corrected.. '
❑ R14 `
` LIMIT OF EXCAVATIONS: Excavations shall be limited to one -thousand feet (1000') of `open trench -before backfill
operations must begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the 1- r
protection of the traveling public. The Public Works Inspector shall determine the suitability of excavation barricading'in
each case. No excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the
construction material is actually on the work site.
•❑ R15 .-�
BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes
of producing and adequately consolidated backfill. Ant material which the City of La Quinta deems unsuitable (spongy or
saturated material) which is encountered during excavation shall not be used for backfill, but shall be supplemented or
r:
replaced by an approved sand or gravel.
❑ R16
BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed on lifts not greater than
three feet (3') and vibrated using vibrostamper or equivalent equipment. Alternate methods may be substituted, but in any.
case, a relative compaction of ninety-five percent (95%) shall be maintained with the structural section of the roadway..-
❑ R17
BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than fifty percent (50%) of the total depth of the
trench before flooding or a maximum of five feet (5) lifts where trenches are of excessive depths. Care is to be exercised
that the backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the `+
'
resulting compaction shall not be less than ninety percent (90%) or equivalent to the surrounding ground, whichever is the -
greater compaction. Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to
retain the water. Where jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water
_
supply shall be continuos.
❑ R18 "
COMPACTION TESTS: If so required by the inspector, compaction test shall be made at intervals of not more than one -
thousand (1000') feet and a maximum of one (1) test on each road. One (1) copy of each test.shall be forwarded tot the City
Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section -
•
6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. `
❑ R19
COMPACTION TESTS: If so required by the Inspector, compaction tests shall be made for each crossing or service line.
r'
One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs.
Compaction tests shall be made as outlined in Sections 6.3.001 of the Standard Specifications, Division of Highways, State..
of California, dated January 1973.
❑ R20
TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch consisting A.
of two inches (2") of SC-800 shall be placed on a prepared sub -grade. The SC-800 temporary paving shall be placed after
a maximum of three -thousand linear feet (3000') or trench has been excavated and backfill operations completed, but in no -
"
case shall the placement of the temporary pavement exceed a five (5) day limit. ,
❑ R21
PERMANENT PAVEMENT REPAIR: After backfill and compactiori have been completed, a temporary patch consisting of
two inches (2") of SC-800 shall be placed immediately. A permanent patch of ( " N/A " ) inches of A.0 surfacing placed on.
a ( ** N/A ** ) inch ('* N/A ** ) aggregate base shall be placed no later than (*' N/A ") days after completion of temporary,
road repair.
❑ R22
FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas as -
determined by the City Engineer. '
❑ R23
STREET RESTRIPING: Where street striping is still visible on street to be excavated, such striping shall be replaced,upon
completion of permanent repairs. `
`❑. R24
TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right-of-way shall'be accomplished
' by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling public. ,It
shall be the responsibility of the permitte to maintain the tree in a vigorous growing condition at its new location.
Trees to be removed shall be in sections, which can be handled safely without interference or hazard to highway traffic. The
entire width of the tree stump, shall be removed and disposed of so that no debris remains in view of the highway. The
stump hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where it becomes
necessary to restrict traffic, the work shall be restricted to a maximum of five -hundred feet (500') at any one time. Adequate a.
signs, flagmen and or barricades shall be provided to protect the traveling public at all times.
Large holes resulting from tree removal shall be backfilled and compacted to not less than ninety percent (90%) or
equivalent tot the surrounding ground, whichever is the greater compaction as determined by the impact or field method.
Compaction tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California,
dated January 1973.
• Yf t tip. i,. f f+-. '9 � - X
PERMIT NO.. 3822
Arizona PipelineNerizonjr
4.
In additiofi to the standard permit conditions the following shall apply:
a
:Pursuant to Section 14.16.320 of the La Quinta Municipal Code (Ordinance:10 § 1, (part); .1982), all
,work shall be performed in accordance with the latest edition of the Standard Specifications For Public
_Works Construction (SSPWC) and as'directed by and to the satisfaction of the City Engineer.
2., Arizona-PipelineNerizon, hereinafter referred to as Permittee , shall be responsible for.providingf
+ %' continuous dust and erosion control.
".� .. 3 I.Streets'shall be kept clean. They shall be completely cleaned at the end of each,working day and more '
frequently if required. r
4. 'Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1;1982), throughout the. -
• ; work site; the'Permittee shall comply with City regulated work hours.: Operation and maintenance of" '
' equipment within one-half mile of human occupancy shall be performed only during the following time ; y
• periods:
or ..
October 1st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m.
' - Saturday 8:00 a.m. to 5:00 P.m.
May, l st to September 30: Monday -Friday 6:00 a.m to 7:00. p.m.. ,` . y
`r Saturday 8:00'a.m. to 5:00 p.m.
F .f zt ��_` r • y,� rr R�t�.+1* �.+ � ♦�~. aT..
Work shall be prohibited on legal holidays and Sundays.
5: ' ,'Work performed within 500 feet of a signalized intersection is restricted between the hours of =9 Lin.,..:
,
x - 3 p.m. Traffic control shall be set up after 9 a.m. and removed before 3 p.m. The Permitt'ee'shall,
contact the Riverside Country Traffic Signal Maintenance Department at (909) , 275-6894 if signal . y'
.operation at the intersection is to be altered in -any way. '
6.; Pursuant to Section 14.16.110 of the La Quinta 'Municipal Code (Ordinance 10 '§ 1; (part); 1982),>" - r s
i' Permittee shall assume responsibility for repair of any pavement damage to any public or private street
'' i • and,for any damage to. other City streets or facilities as a result of work performed. under, this permit
�•7 r ,,Pursuant, to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10-§ 1. (part)-1982),
h ;advance warning signs and traffic control shall be installed and maintained in accordance with Cal.
Trans Standards or the Work Area Traffic Control Handbook (WATCH Manual). A traffic control
} plan shall be prepared in accordance with the WATCH Manual and submitted to the City
review.and approval one (1) week prior to starting any construction.: It shall be the Permittee's..' . -,
,
<z responsibility to appropriately detour and barricade all construction sites...
` Special Conditions - Permit No. 3822 Page 1 of 5